What is the Body Mass Index (BMI) of a 5'5" (approximately 1.65 meters) tall, 120 lbs (approximately 54.4 kilograms) adult female?

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BMI Calculation for 5'5" and 120 lbs

For an individual who is 5'5" (165 cm) and 120 lbs (54.4 kg), the BMI is 20.0 kg/m², which falls within the normal/healthy weight range of 18.5-24.9 kg/m². 1, 2

Calculation Method

  • BMI is calculated as weight in kilograms divided by height in meters squared 1, 3
  • Height of 5'5" = 65 inches = 165 cm = 1.65 meters 1
  • Weight of 120 lbs = 54.4 kg 1
  • BMI = 54.4 kg ÷ (1.65 m)² = 54.4 ÷ 2.72 = 20.0 kg/m² 1, 3
  • Alternative formula using pounds and inches: [120 lbs ÷ (65 inches)²] × 703 = 19.97 kg/m² 1, 3

Weight Classification

This BMI of 20.0 kg/m² is classified as normal/healthy weight, which is associated with the lowest risk for cardiovascular disease, diabetes, and overall mortality. 1, 2

  • Normal/healthy weight range: BMI 18.5-24.9 kg/m² 1, 2
  • For this height (5'5"), the healthy weight range is approximately 111-149 lbs 4
  • Overweight begins at BMI ≥25.0 kg/m² (≥150 lbs at this height) 1, 2
  • Obesity begins at BMI ≥30.0 kg/m² (≥180 lbs at this height) 1, 2

Clinical Significance

Individuals with BMI in the normal range (18.5-24.9 kg/m²) should maintain their current weight and avoid weight gain through regular monitoring and physical activity. 2

  • Normal BMI is associated with lower cardiovascular event rates compared to overweight or obese categories 1
  • Maintaining weight within the healthy BMI range reduces risk of multiple cancers, cardiovascular disease, diabetes, and overall mortality 4
  • A 30-year cohort study of 273,843 persons demonstrated that those with BMI 18.5-24.9 kg/m² had the lowest mortality risk, while overweight (BMI 25-29.9) showed 1.1 times increased risk and obesity showed progressively higher risk 5

Important Caveats

BMI has limitations as it does not directly measure body fat or account for individual differences in muscle mass and body composition. 1, 2

  • BMI has good specificity (90%) but low sensitivity (50%) for diagnosing excess adiposity 2
  • Waist circumference should be measured alongside BMI for more complete risk assessment, with >35 inches in women indicating increased cardiovascular risk 1, 4
  • For Asian populations, lower BMI thresholds apply (overweight ≥23 kg/m², obesity ≥25 kg/m²) due to higher body fat percentages and visceral adiposity at lower BMI values 1, 3

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Obesity Classification and Assessment

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

BMI Calculation and Classification for Adults

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Ideal Weight Range for Adults

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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